2013, Number 2
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Rev Odont Mex 2013; 17 (2)
Dental characteristics of hypophosphatemic rickets. Case report
Godina HG, Belmont LF
Language: Spanish
References: 24
Page: 103-110
PDF size: 506.00 Kb.
ABSTRACT
Hypophosphatemic vitamin-D resistant rickets is characterized by persistent hypophosphatemia and hyperphosphaturia. This metabolic disorder causes deficient calcification of mineralized structures such as bones and teeth. One of the most important oral alterations elicited by this condition is the recurrent formation of «spontaneous» abscesses. These affect multiple caries or trauma to free primary o permanent teeth and are related to a deficient dentin mineralization. We report a case of hypophosphatemic vitamin-D resistant rickets in a patient who reported multiple dental abscesses and who required treatment consisting in pulpectomies, pulpotomies and chrome-steel crowns in molars and composite resin in anterior teeth. The aim of the present article was to raise awareness on the characteristics of this disorder, as well as its treatment and dental considerations.
REFERENCES
McWhorter AG, Seale NS. Prevalence of dental abscess in a population of children with vitamin D-resistant rickets. Pediatr Dent 1991; 13 (2): 91–96.
Shroff D, McWhorter A. Evaluation of aggressive pulp therapy in a population of vitamin D-resistant rickets patients: a follow-up of 4 cases. Pediatr Dent 2002; 24: 347-349.
Cleverton RA, Maranhão CP. Endodontic treatment in patients with X-linked hypophosphatemic rickets. Braz J Oral Sci; 1 (3): 129-132.
Seow WK, Romanink K, Sclavos S. Micromorphologic features of dentin in vitamin D-resistant rickets: correlation with clinical grading of severity. Pediatr Dent 1989; 11 (3): 203-208.
Demay MB, Sabbagh Y, Carpenter TO. Calcium and vitamin D: what is known about the effects on growing bone. Pediatrics 2007; 119 (Suppl 2): 141-144.
Goodman JR, Gelbier MJ, Bennett JH, Winter GB. Dental problems associated with hypophosphataemic vitamin D resistant rickets. Int J Paediatr Dent 1998; 8 (1): 19-28.
Seow WK, Latham SC. The spectrum of dental manifestations in vitamin D- resistant rickets: implications for management. Pediatr Dent 1986; 8 (2): 245–250.
Chaussain M, Sinding C. Dental abnormalities in patients with familial hypophosphatemic vitamin D-resistant rickets: prevention by early treatment with 1-hydroxyvitamin D. J Pediatr 2003; 142 (3): 324-331.
Econs MJ, Friedman NE, Rowe PS, Speer MC, Francis F, Strom TM. A PHEX gene mutation is responsible for adult-onset vitamin D-resistant hypophosphatemic osteomalacia: evidence that the disorder is not a distinct entity from X-linked hypophosphatemic rickets. J Clin Endocrinol Metab 1998; 83: 3459-3462.
Gallardo M, Arroyo G. Raquitismo hipofosfatémico. Presentación de un caso. Med Oral 2002; 4 (2): 42-44.
Larmas M, Hietala EL, Similä S, Pajari U. Oral manifestations of familial hypophosphatemic rickets after phosphate supplement therapy: a review of the literature and report of case. ASDC J Dent Child 1991; 58 (4): 328-334.
Breen GH. Prophylactic dental treatment for a patient with vitamin D- resistant rickets: report of case. ASDC J Dent Child 1986; 53 (1): 38-43.
Rakocz M, Keating J, Johnson R. Management of the primary dentition in vitamin D-resistant rickets. Oral Surg Oral Med Oral Pathol 1982; 54 (2):166-1671.
Ozkan S, Ucok Z, Alagöl F. Dental manifestations of familial hypophosphatemic vitamin-D-resistant rickets: report of case. J Dent Child 1984; 51 (6): 448-450.
Herbert FL. Hereditary hypophosphatemia rickets: an important awareness for dentists, case reports. J Dent Child 1986; 53 (3): 223-226.
Seow WK. X-linked hypophosphatemic vitamin D-resistant rickets. Aust Dent J 1984; 29 (6): 371-377.
Seeto E, Seow WK. Scanning electron microscopic analysis of dentin in vitamin D-resistant rickets: assessment of mineralization and correlation with clinical findings. Pediatr Dent 1991; 13 (1):43–48.
Tulloch EN, Andrews FFH. The association of dental abscesses with vitamin D-resistant rickets. Br Dent J 1983; 154: 136-138.
Murayama T, Iwatsubo R, Akiyama S, Amano A, Morisaki I. Familial hypophosphatemic vitamin D-resistant rickets: dental findings and histologic study of teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90 (3): 310-316.
Hillmann G, Geurtsen W. Pathohistology of undecalcified primary teeth in vitamin D-resistant rickets: review and report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82 (2): 218-224.
Batra P, Tejani Z, Mars M. X-linked hypophosphatemia: dental and histologic findings. J Can Dent Assoc 2006; 72 (1): 69-72.
Kawakami M, Yamamoto T. Orthodontic treatment of a patient with hypophosphatemic Vitamin D resistant rickets. J Dent Child 1997; 64(6): 395-399.
Abe K, Ooshima T, Lily TS, Yasufuku Y, Sobue S. Structural deformities of deciduous teeth in patients with hypophosphatemic vitamin D-resistant rickets. Oral Surg Oral Med Oral Pathol 1988; 65 (2): 191-198.
Cohen S, Becker GL. Origin, diagnosis, and treatment of the dental manifestations of vitamin D-resistant rickets: a review of the literature and report of a case. J Am Dent Assoc 1976; 92 (1):120–129.